How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $169.82 | Professional | None | $104.71 | $138.04 | $169.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $91.20 Median $354.81 Typical High $2,754.23 | Facility | None | $91.20 | $354.81 | $2,754.23 |
BCBS Louisiana Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $194.98 | Professional | None | $112.20 | $144.54 | $194.98 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $100.00 Typical High $144.54 | Facility | None | $74.13 | $100.00 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $213.80 | Professional | None | $100.00 | $144.54 | $213.80 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $194.98 | Professional | None | $77.62 | $109.65 | $194.98 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $52.48 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $21.38 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $102.33 Typical High $128.82 | Professional | 54 · Surgery only | $79.43 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.42 Typical High $25.70 | Professional | 55 · Aftercare only | $15.85 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.80 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.47 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $95.50 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $74.13 | $95.50 | $120.23 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 21st of 51
$145
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.